Disparities in timely surgery among Asian American women with breast cancer - 04/09/24

Doi : 10.1016/j.amjsurg.2024.115928

Yuan-Hsin Chen ^a,^b, Ya-Wen Chen ^a,^b, David C. Chang ^a,^b,^{^{1
David C. Chang and Tawakalitu O. Oseni contributed equally as co-senior authors.},}^⁎ , Tawakalitu O. Oseni ^a,^{^{1
David C. Chang and Tawakalitu O. Oseni contributed equally as co-senior authors.}}
^a Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA
^b Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 403, Boston, MA, 02114, USA

^⁎Corresponding author. Department of Surgery, Massachusetts General Hospital, 165 Cambridge St, Suite 403, Boston, MA, 02114, USA.Department of SurgeryMassachusetts General Hospital165 Cambridge StSuite 403BostonMA02114USA

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Wednesday 04 September 2024

Abstract

Background

We investigated the likelihood of timely surgery for breast cancer patients among diverse Asian subgroups.

Methods

We analyzed the National Cancer Database from 2010 to 2019 and included White and Asian women diagnosed with stage I-III breast cancer. Patients with multiple cancers, patients who received chemotherapy, and those diagnosed and treated at different hospitals were excluded. The primary outcome was timely surgery within 8 weeks of diagnosis. Race was the primary independent variable. Asian Americans were stratified by geography.

Results

A total of 716,701 women were analyzed, with 3.5% Asians. Delayed surgery was experienced by 13.2% of women. Adjusted analysis indicated no difference in receiving timely surgery between all Asians and Whites. However, Southeast Asians were less likely to undergo timely surgery compared to Whites (OR 0.75, 95% CI 0.67–0.84).

Conclusions

Variations among Asian ethnicities emphasize the need to explore treatment patterns to address disparities in breast cancer care.

Le texte complet de cet article est disponible en PDF.

Highlights

•	Timely breast cancer surgery rates vary among Asian American subgroups.
•	Southeast Asians were less likely to receive timely surgery compared to Whites.
•	No difference in receiving timely surgery for East and South Asians than for Whites.
•	Disaggregating Asian Americans is crucial to ensuring health equity.

Le texte complet de cet article est disponible en PDF.

Keywords : Timely surgery, Breast cancer, Surgical disparity, Disaggregated Asian American subgroups